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Jewlz: Scared of the withdrawal process


Jewlz

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Coming up on a new year and I'm ready to continue my taper from duloxetine. I went from 90 to 80mg in April of this year (2018) and have been holding at 80mg since. My question now is replacing the duloxetine with citalopram or escitalopram. The reasoning in back of this thought is both citalopram and escitalopram have a longer half life than duloxetine, have lower doses available and liquid form too. I realize there are different methods of actions between SNRI's and SSRI's and I'm not clear on any type of negative side effects because of this. Can someone help me understand, please? 

  • Lamictal 100mg AM, 200mg HS March 2000 to present.
  • Duloxetine 90 mg (3-30mg) AM  June 2009-July 2017.
  • Duloxetine 90mg (1-30mg plus 1-60mg) AM July 2017 to April 2018.
  • Begin Duloxetine taper from 90mg to 80mg (1-60mg plus 1-20mg) April 2018 and holding.
  • Duloxetine taper from 80mg to 70mg (1-30mg plus 1-40mg) June 1, 2019.
  • Duloxetine taper from 70mg to 60mg starting June 27, 2019
  • Stopped taking this poison-June 2019! Xanax 0.5 mg May 1991 to May 2015 PRN,  0.125mg PRN April 2018 (have take 1/2 dose 3 separate times). No withdrawal effects because I barely used it?
  • Supplements: Natrol JuiceFestive daily fruit and vegetable, Renew Life Pre/Probitoic. Wiley's vision supplement 20mg Floraglo Lutein, 500mg Omega-7, 20mg Anthocyanins from bilbery, Wiley's fish oil 750mg EPA & 250mg DHA fish oil.  Fresh Supplements 500mg Curcuma longa, 50mg Curcuminoids (95%), 100mg Bowsellic acid (65%).5mg-Bioperine for osteoarthritis. Ginger lozenges to help with indigestion/heartburn and extra strengthTums-prn.
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  • Moderator Emeritus

It is generally best to stay on the drug you are taking because you can get withdrawal from the old drug and/or start up/side effects/bad reaction to the new drug.  You won't know what is causing any issues.

 

However, some drugs are more difficult to taper.  Some members do a bridge/switch to Prozac.

 

See this topic:  The Prozac switch or "bridging" with Prozac

 

And there is information about this in Post #1 of this topic: 

 

 

* NO LONGER ACTIVE on SA *

MISSION ACCOMPLISHED:  (6 year taper)      0mg Pristiq  on 13th November 2021

ADs since ~1992:  25+ years - 1 unknown, Prozac (muscle weakness), Zoloft; citalopram (pooped out) CTed (very sick for 2.5 wks a few months after); Pristiq:  50mg 2012, 100mg beg 2013 (Serotonin Toxicity)  Tapering from Oct 2015 - 13 Nov 2021   LAST DOSE 0.0025mg

Post 0 updates start here    My tapering program     My Intro (goes to tapering graph)

 VIDEO:   Antidepressant Withdrawal Syndrome and its Management

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  • 2 months later...

Jewlz-checking in.

 

I think things are going well for me and then they aren't. Recently I find myself depressed, no passion to get things done like laundry. Which I can deal with for now. I'm sleeping a lot. Yesterday over 12 hours! What the heck is that about? My circadian rhythm is topsy-turvy. It's time for me to start looking for full time work as I graduate in May with a 2 year HIM degree and will become certified during the summer. That scares me because I want to move forward with this tapering business but know that I won't be at the top of my game-so frustrating. It's almost 1 year since i dropped 90mg duloxetine to 80mg. Next drop should be 72mg. I have all the equipment to count beads, but you know I don't really want to have to do that! There are about 4 compounding pharmacies in my area that I'm reaching out to one at a time. Hopefully something will work for me there. My vision is still blurry, seeing stars but not all at once, like I blink and there's one, from being tired? Constant white noise in my ears and my stomach hurts when I put food on it (IBS?) so I need to narrow down the culprit, although I'm not eating well. Even with good food in the house These all seem like w/d symptoms, but I'm still taking the meds. Has anyone every done an inpatient rehab stint to come off duloxetine? I'm growing so impatient and just want to get this done and off my list, even when I know it's not that easy. Apologies to anyone who I may not have responded to while I dropped off the radar. 

  • Lamictal 100mg AM, 200mg HS March 2000 to present.
  • Duloxetine 90 mg (3-30mg) AM  June 2009-July 2017.
  • Duloxetine 90mg (1-30mg plus 1-60mg) AM July 2017 to April 2018.
  • Begin Duloxetine taper from 90mg to 80mg (1-60mg plus 1-20mg) April 2018 and holding.
  • Duloxetine taper from 80mg to 70mg (1-30mg plus 1-40mg) June 1, 2019.
  • Duloxetine taper from 70mg to 60mg starting June 27, 2019
  • Stopped taking this poison-June 2019! Xanax 0.5 mg May 1991 to May 2015 PRN,  0.125mg PRN April 2018 (have take 1/2 dose 3 separate times). No withdrawal effects because I barely used it?
  • Supplements: Natrol JuiceFestive daily fruit and vegetable, Renew Life Pre/Probitoic. Wiley's vision supplement 20mg Floraglo Lutein, 500mg Omega-7, 20mg Anthocyanins from bilbery, Wiley's fish oil 750mg EPA & 250mg DHA fish oil.  Fresh Supplements 500mg Curcuma longa, 50mg Curcuminoids (95%), 100mg Bowsellic acid (65%).5mg-Bioperine for osteoarthritis. Ginger lozenges to help with indigestion/heartburn and extra strengthTums-prn.
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  • Moderator Emeritus
5 hours ago, Jewlz said:

There are about 4 compounding pharmacies in my area that I'm reaching out to one at a time.

 

If you cannot find a pharmacist who will compound your drug I suggest you contact PCCA - Professional Compounding Centers of America (email below).  Or you could ask the compounding pharmacy to contact the compounding association.

 

Subject:   ATTN:  Clinical Compounding Pharmacist

 

customerserviceexternal AT SYMBOL pccarx DOT com

* NO LONGER ACTIVE on SA *

MISSION ACCOMPLISHED:  (6 year taper)      0mg Pristiq  on 13th November 2021

ADs since ~1992:  25+ years - 1 unknown, Prozac (muscle weakness), Zoloft; citalopram (pooped out) CTed (very sick for 2.5 wks a few months after); Pristiq:  50mg 2012, 100mg beg 2013 (Serotonin Toxicity)  Tapering from Oct 2015 - 13 Nov 2021   LAST DOSE 0.0025mg

Post 0 updates start here    My tapering program     My Intro (goes to tapering graph)

 VIDEO:   Antidepressant Withdrawal Syndrome and its Management

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  • Moderator Emeritus
5 hours ago, Jewlz said:

Has anyone every done an inpatient rehab stint to come off duloxetine? 

 

Inpatient rehabs would try to get you off too quickly and may introduce/swap drugs.  They may not have follow up.

 

inpatient-center-clinic-or-retreat-for-detox-rehab-recovery

* NO LONGER ACTIVE on SA *

MISSION ACCOMPLISHED:  (6 year taper)      0mg Pristiq  on 13th November 2021

ADs since ~1992:  25+ years - 1 unknown, Prozac (muscle weakness), Zoloft; citalopram (pooped out) CTed (very sick for 2.5 wks a few months after); Pristiq:  50mg 2012, 100mg beg 2013 (Serotonin Toxicity)  Tapering from Oct 2015 - 13 Nov 2021   LAST DOSE 0.0025mg

Post 0 updates start here    My tapering program     My Intro (goes to tapering graph)

 VIDEO:   Antidepressant Withdrawal Syndrome and its Management

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Hi Chessie Cat-thank you for the compounding information and the status of IP rehab for duloxetine discontinuation. It's sad to me that there is nothing available to help folks damaged by these drugs.

  • Lamictal 100mg AM, 200mg HS March 2000 to present.
  • Duloxetine 90 mg (3-30mg) AM  June 2009-July 2017.
  • Duloxetine 90mg (1-30mg plus 1-60mg) AM July 2017 to April 2018.
  • Begin Duloxetine taper from 90mg to 80mg (1-60mg plus 1-20mg) April 2018 and holding.
  • Duloxetine taper from 80mg to 70mg (1-30mg plus 1-40mg) June 1, 2019.
  • Duloxetine taper from 70mg to 60mg starting June 27, 2019
  • Stopped taking this poison-June 2019! Xanax 0.5 mg May 1991 to May 2015 PRN,  0.125mg PRN April 2018 (have take 1/2 dose 3 separate times). No withdrawal effects because I barely used it?
  • Supplements: Natrol JuiceFestive daily fruit and vegetable, Renew Life Pre/Probitoic. Wiley's vision supplement 20mg Floraglo Lutein, 500mg Omega-7, 20mg Anthocyanins from bilbery, Wiley's fish oil 750mg EPA & 250mg DHA fish oil.  Fresh Supplements 500mg Curcuma longa, 50mg Curcuminoids (95%), 100mg Bowsellic acid (65%).5mg-Bioperine for osteoarthritis. Ginger lozenges to help with indigestion/heartburn and extra strengthTums-prn.
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  • 3 months later...

Hello-I'm feeling a little disappointed because I thought I posted on my intro page a couple of days ago, but I don't see it. That's okay though. In that post I wrote about finding a new psychiatrist who on the first visit did not hesitate to start a taper with me. Note: it's not the conventional w/d process as outlined here, but it is low and slow and will incorporate a prozac bridge if necessary. I am feeling good, some GI issues but very minimal with pretty severe heartburn but I am able to control it, so that's a positive. I'm feeling a lot of relief so far in the w/d process that my w/d has not been a bumpy road. I hope it continues that way. If not, I know I have the support of my psychiatrist and I'm also utilizng talk therapy which is going to be helpful too. That's all for now. Thanks for your support-Jewlz

  • Lamictal 100mg AM, 200mg HS March 2000 to present.
  • Duloxetine 90 mg (3-30mg) AM  June 2009-July 2017.
  • Duloxetine 90mg (1-30mg plus 1-60mg) AM July 2017 to April 2018.
  • Begin Duloxetine taper from 90mg to 80mg (1-60mg plus 1-20mg) April 2018 and holding.
  • Duloxetine taper from 80mg to 70mg (1-30mg plus 1-40mg) June 1, 2019.
  • Duloxetine taper from 70mg to 60mg starting June 27, 2019
  • Stopped taking this poison-June 2019! Xanax 0.5 mg May 1991 to May 2015 PRN,  0.125mg PRN April 2018 (have take 1/2 dose 3 separate times). No withdrawal effects because I barely used it?
  • Supplements: Natrol JuiceFestive daily fruit and vegetable, Renew Life Pre/Probitoic. Wiley's vision supplement 20mg Floraglo Lutein, 500mg Omega-7, 20mg Anthocyanins from bilbery, Wiley's fish oil 750mg EPA & 250mg DHA fish oil.  Fresh Supplements 500mg Curcuma longa, 50mg Curcuminoids (95%), 100mg Bowsellic acid (65%).5mg-Bioperine for osteoarthritis. Ginger lozenges to help with indigestion/heartburn and extra strengthTums-prn.
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  • 1 month later...
On 11/15/2017 at 7:35 PM, Jewlz said:

I'm a newbie here and still learning the ropes. 

 

Has anyone ever heard of the periodical/book titled "The Road Back?" I found it a couple of years ago when I was considering a taper off cymbalta which I never started. Anyway, the info in the book seems helpful. They talk about using nutritional supplements that they've personally formulated that cost quite a bit. I'm scared out of my mind about the withdrawal from cymbalta and this book makes it sound like their supplements go a long way in helping to relieve the tapering process.

 

Are there supplements that perhaps someone else has used in their tapering process?

 

Thanks.

 

 The gold standard Omega 3 fish oil together with magnesium caps and turmeric with piperine.

 

take care

2011 protracted withdrawal symptoms from Effexor, managed to come off
2013-2015  risperidone consta 50 mg, started tapering from March 2015 to 1,66mg/day and from 02/2015 started seroxat 10mg/day

01/17 Seroxat 2,0mg,olanzapine 5mg,risperidone consta 25mg/every 15days

05/17 Seroxat 1mg,olanzapine 5mg,risp.consta 25mg/every 15days

06/17 Seroxat 2drops,olanzapine 5mg,liquid risperidone2mg

07/17 Seroxat 1 drop,olanzapine 5mg,Risperidone 0mg, 10/17 Seroxat 0mg,olanzapine,5mg,Risperidone 0mg, 12/17 Seroxat 1/2 drop, olanzapine 5mg,  04/18 Olanzapine 1,25mg, 04/18 xanax 0,5mg

24/06/2019 doc said to take 10mg olanzapine for 13days and down to 5mg
 been taking 10mg for 14 days, 5mg for 8 days  and  tapered to  3/4quart. 5mg  for 14 days, 1/2 for 14 days,

01/08/19 2,5mg

08/2021 5mg olanzapine

Supplements Omega 3, Turmeric, Bacopa monneri, Mucuna Pruriens

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Hello Miko. I'm a newbie, figuring the site out, and tapering since December 2018. I have heard of the book but have not read it. I am using Fish Oil Omega--3 (EPA and DHA) 1200 mg once per day - which I have been using for years. I don't know if if helps reduce my symptoms or not. One thing I will add is the magnesium citrate - starting at a low dose 25 mg. I have yet to get to the pharmacy to purchase some so I can't comment on its efficacy.

 

Learn more about magnesium here:

 

Hang in there!

 

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